Grzesik, Faith E
Grzesik, Faith E is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Benning GA 31905. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grzesik, Faith E can be contacted via phone (762) 408-4061.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Benning GA 31905
Phone: (762) 408-4061
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 1157339 | Kentucky |
Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 041335347 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3012549 | Kentucky |
Profile Details
NPI number | 1528495090 |
---|---|
LBN Legal business name | Grzesik, Faith E |
Credentials | DNP, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2013 |
Last updated | Jul 31st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528495090 | NPPES |
Other | 108135830 | EPIDN |
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